Information

  • Site name

  • Site address
  • Visit type

  • Conducted on

  • Prepared by

  • On site manager (If known)

  • Additional staff members on site

Employee names and Job titles

  • undefined

Area's to review

Area of work (Take photos of area where possible)

  • Reception

  • Offices

  • Meeting/ show rooms

  • Toilet facilities

  • Changing rooms

  • Kitchen/Canteen

  • Carpark

  • Other area's not listed

  • Task(s) observed

  • Maintenance jobs to be completed by site manager

  • Maintenance personnel trained to complete tasks assigned

  • If no to above list additional training required if known

Health & Safety

  • Risk Assessment needed

  • List of RA if known

  • Safe systems of work needed

  • List of SOP if known

  • Power tools/Equipment on site

  • List of Equipment ( Take photos where possible)

  • Power tools PAT tested and in date

  • Date PAT testing due

COSHH

  • Chemical provider

  • List of chemicals & uses

On site PPE required

  • Safety Boots

  • High Vis Clothing

  • Gloves

  • Ear Defenders

  • Mask

  • Eye Protection

  • Comments on the above

Contractors

  • List of contractors

  • Contractor forms to be sent by

Additional comments

  • Site covered on IPS insurance

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.